Individual provider Active NPI

William T. Kirn, O.D.

  • Optometrist
  • Sanford, ME
National Provider Identifier
1285659417
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT818 Issued in ME
Practice address
272 Cottage St
Sanford, ME 04073-1815
Phone
(207) 324-8888
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT818 ME Primary

Addresses

Primary practice location

272 Cottage St
Sanford, ME 04073-1815

Mailing address

272 Cottage St
Sanford, ME 04073-1815
Phone (207) 324-8888

Other identifiers 1

IdentifierTypeStateIssuer
260530099MedicaidME

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address William.Kirn@direct.revolutionehr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000655 ME Practitioner - Optometry 1658315312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Eye Care, P.a.Group PAC ID 7012951775, 10 clinicians

Practice addresses (Care Compare)

272 Cottage St
Sanford, ME 04073-1815
Phone (207) 324-8888

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
71.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Care, P.a. Optometrist CurrentSince Mar 22, 1999 Accepting new patients
Associated Eye Care Optometrist Current Accepting new patients

Locations

1 Dunkin Run
Unit 3
East Waterboro, ME 04030
Phone (207) 247-3005

65 Portland Rd
Kennebunk, ME 04043
Phone (207) 985-6181

272 Cottage St
Sanford, ME 04073
Phone (207) 324-8888

Interoperability endpoints

  • Direct secure messaging: william.kirn@direct.revolutionehr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1285659417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 COTTAGE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731815",
            "telephone_number": "207-324-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 COTTAGE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731815",
            "telephone_number": "207-324-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRN",
        "first_name": "WILLIAM",
        "middle_name": "T.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260530099",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "William.Kirn@direct.revolutionehr.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "272 Cottage St",
            "city": "Sanford",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040731815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

Verify at the official NPI Registry.